| NPI | 1164135067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA RONDEAU Owner 617-702-0722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-05 |